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FOOD AND NUTRITION SERVICES CERTIFICATION CLAIMS Requirements for Establishing Recipient Claims ____________________________________________________________________________________

10 Section 805 Change #1-2017 April 1, 2017

2. FNS benefits/cards are offered for sale in a public place or by text. The public place may be the grocery store.

B. IPV claim amounts for trafficking or attempted trafficking:

1. Zero for IPV claims when no benefits were actually sold or transferred or;

2. The amount of benefits that were actually trafficked.

C. Enter IPV claims in EPICS regardless of the amount of the overissuance. Enter $1.00 as the claim amount when there is no overissuance. Fax request to the State Office/Attn: Program Integrity at 919-334-1265 to close the claim by adjusting the claim amount to zero once the process to establish the IPV disqualification is complete and entered in EPICS. Follow instructions in policy manual section 820.12. Do not establish an IPV claim for $1.00 with the casehead does not have a Social Security Number (SSN). Document the disqualification in the record. A disqualification cannot be established in EPICS without a SSN.

7. IPV claims must be established using one of the following methods:

a. Administrative Disqualification Hearing (ADH);

b. Claimant’s Waiver of the ADH;

c. Court Action.

Court action includes:

(1) Deferred Prosecution when it includes a Disqualification Consent Agreement handled by the District Attorney’s Office;

(2) Superior Court Conviction;

(3) District Court Conviction.

8. Enter in EPICS a claim type “U” ( Undetermined Pending ADH) on the day the DSS-8556, Advanced Notice of ADH, is mailed or “P” (Undetermined Pending Criminal Court) the day the case is given to the District Attorney or law enforcement officer. Enter the Date of Discovery when an overissuance is determined. Reclassify the claim as an IPV once guilt is established using one of the methods listed in 805.05C,7. Reclassify the claim as AE or IHE if IPV is not established. The 180 day time limit to establish a claim must be met even if a “U” or “P” is entered in EPICS.

805.06 METHODS OF COLLECTING CLAIMS

There are seven methods of collecting claims.